在英格兰卢顿，从事护理和住宿护理之家工作的少数族裔护理工作者在 COVID-19 大流行期间的心理健康体验和应对策略。
Mental health experiences and coping strategies of BAME care workers who worked in nursing and residential care homes during the COVID-19 pandemic in Luton, England.
机构信息
Institute for Health Research, University of Bedfordshire, Putteridge Bury, Luton, Bedfordshire, LU2 8LE, UK.
出版信息
BMC Public Health. 2023 Mar 29;23(1):592. doi: 10.1186/s12889-023-15423-2.
BACKGROUND
The COVID-19 pandemic intensified the risk factors for poor mental health among care workers in the UK. However, there is inadequate evidence on the mental health impact of COVID-19 on Black, Asian, and minority ethnic (BAME) care workers in particular. This study seeks to explore mental health experiences and coping strategies of BAME care workers who worked in nursing and residential care homes during the COVID-19 pandemic.
METHOD
This is a qualitative study conducted between February and May, 2021 in Luton, England. A sample of n = 15 care workers from BAME background working in nursing and residential care homes were recruited purposively using the snowball sampling technique. In-depth interviews were conducted around topics such as views on COVID-19, the impact of the COVID-19 pandemic on mental health and coping during the COVID-19 pandemic. Data from the interviews was analysed using the Framework Analysis Approach.
RESULTS
The COVID-19 pandemic had a negative impact on the participants' mental health as they experienced stress, depression, anxiety, trauma and paranoia. The majority of the participants explained that they managed their mental health by belief in God and religious practices, by keeping themselves busy doing activities they were passionate about, following government guidelines on the prevention of COVID-19, seeing the service users happy and some participants managed through support that was offered by the government. However, some participants did not have any support for their mental health.
CONCLUSION
Issues such as increased workload associated with COVID-19 restrictions engendered mental health problems among BAME care workers, however, the workload only further increased during the pandemic, but the health and social care sector was already affected by heavy workload due to staff shortages and this needs to be addressed through increasing their wages to encourage more people to work in the health and social care sector. In addition, some BAME care workers never received any support for their mental health during the pandemic. Hence, integrating mental health services such as counselling, supportive psychotherapy and recreational therapies in care homes could help to support the mental health of care workers in the COVID-19 era.
背景
新冠疫情加剧了英国护理人员不良心理健康的风险因素。然而，针对新冠疫情对黑人和少数族裔（BAME）护理人员心理健康的影响，证据不足。本研究旨在探索在新冠疫情期间于护理院和养老院工作的 BAME 护理人员的心理健康体验和应对策略。
方法
这是一项在 2021 年 2 月至 5 月于英国卢顿进行的定性研究。采用雪球抽样技术，有针对性地招募了 15 名来自 BAME 背景、在护理院和养老院工作的护理人员。围绕对新冠疫情的看法、新冠疫情对心理健康的影响以及在新冠疫情期间的应对等主题进行了深入访谈。使用框架分析方法对访谈数据进行分析。
结果
新冠疫情对参与者的心理健康产生了负面影响，他们经历了压力、抑郁、焦虑、创伤和偏执。大多数参与者表示，他们通过信仰上帝和宗教实践、保持忙碌、从事自己热衷的活动、遵循政府关于预防新冠的指导方针、看到服务对象开心，以及一些参与者得到政府提供的支持来管理自己的心理健康。然而，一些参与者没有得到任何心理健康支持。
结论
与新冠疫情限制相关的工作量增加等问题给 BAME 护理人员带来了心理健康问题，然而，在疫情期间工作量进一步增加，而卫生和社会保健部门由于人员短缺已经受到工作量大的影响，这需要通过提高工资来解决，以鼓励更多的人在卫生和社会保健部门工作。此外，一些 BAME 护理人员在疫情期间从未得到任何心理健康支持。因此，在护理院整合心理咨询、支持性心理治疗和娱乐治疗等心理健康服务，可以帮助支持新冠疫情时代护理人员的心理健康。
Zotero 插件